institution
Trc - Four Corners Dialysis Clinics Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kayenta, Arizona
NPI 1639135379

Trc - Four Corners Dialysis Clinics Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AZ and is specialized in End-Stage Renal Disease (ESRD) Treatment. Trc - Four Corners Dialysis Clinics Llc practices in Kayenta, AZ. The NPI Number for Trc - Four Corners Dialysis Clinics Llc is 1639135379 and holds a License No. (Arizona).

The current practice location address for Trc - Four Corners Dialysis Clinics Llc is Highway 163 #217, Kayenta, AZ and can be reached out via phone at 928-697-8182 and via fax at 928-697-8195.

Location: Highway 163 #217, Kayenta, AZ, 37027-7569
institution
Provider Profile Details
NPI Number
1639135379
Provider Name
Trc - Four Corners Dialysis Clinics Llc
Credential
Provider Entity Type
Organization
Address
Highway 163 #217, Kayenta, AZ, 37027-7569
Phone Number
928-697-8182
Fax Number
928-697-8195
Provider Enumeration Date
04/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
472655 05 AZ
institution
Provider Business Practice Location Address Details
Address
Highway 163 #217
City
State
Zip
86033-9997
Phone Number
928-697-8182
Fax Number
928-697-8195
person
Provider Business Mailing Address Details
Address
Highway 163 #217
City
State
Zip
86033-9997
Phone Number
928-697-8182
Fax Number
928-697-8195
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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